PRITE PRACTICE 2027 ANSWERS AND QUESTIONS
SET A+
✔✔Parents of a two year old girl are concerned because she's playing with trucks, likes
to wear boys clothes, and likes to play w/ boys. They've tried to change her but she has
been resistant. When asked by a physician, the child insists she's a girl. What is the
most likely diagnosis? - ✔✔Normal development
✔✔In a likely delirious patient, in addition to orientation questions, which part of the
MMSE is most helpful to confirm the diagnosis? - ✔✔Serial 7s
✔✔What neurotransmitter present in the periaqueductal gray matter is involved in the
mediation of pain? - ✔✔Endorphins
✔✔What is a pharmacological effect of lithium? - ✔✔Glycogen synthase kinase-3
inhibition
✔✔What stage of development occurs first in female physical development? -
✔✔Increase in adrenal androgen production
✔✔What type of genetic variation is most commonly investigated in genome wide
association studies? - ✔✔Single nucleotide polymorphisms
✔✔What Freudian stage of development is characterized by an intensification of
libidinal drive, separation from one's parents, and achievement of mature sense of self?
- ✔✔Genital
✔✔Deep brain stimulation targeting what area of the brain is most studied for treatment
of depression - ✔✔Subcallosal cingulate cortex
✔✔32 yo with episodes of severe sleepiness and falls asleep while driving, reporting
episodes of paralysis and hallucinations while awakening. Symptoms are best explained
by a deficiency of what? - ✔✔Orexin
,✔✔32 yo has a new onset headache with unilateral stabbing eye pain, also experiences
runny nose and conjunctival injection on same side as headache occurring every
evening after falling asleep and last 2 hours. Diagnosis? - ✔✔Cluster headache
✔✔Patient presents with complain "I think I'm going crazy." Reports that she has no self
and thoughts are not her own. Feels like a robot and is unable to control her body.
States she has feelings and is not able to feel them. Feels emotionally numb. Feels
head is "full of cotton." Recently started having "out of body experiences." Diagnosis? -
✔✔Depersonalization/derealization disorder
✔✔There are 3 primary components of "meaningful use" of electronic medical records
(EMR). These include certified EMR in a meaningful manner, use of certified EMR
technology to submit clinical quality measures, and which of the following? -
✔✔Electronic exchange of health information to improve quality of care
✔✔What neurotransmitter is thought to play a key role in fine-tuning working memory
function in the dorsolateral prefrontal cortex? - ✔✔Dopamine
✔✔What does current evidence show regarding psychiatrists using pharmacogenomics
testing in clinical practice? - ✔✔Research shows promise for clinical utility, but
replicated evidence about outcomes is lacking.
✔✔A psychiatrist working in a primary care clinic is contacted by the PCP for informal
"curbside" consultation and provides recs without evaluating the pt. What is
recommended to minimize liability? - ✔✔Care of the patient remains under the direction
of the PCP who also remains in charge of ordering medications or additional services
✔✔Which sleep disorder is associated w/ mild neurocognitive disorder w/ Lewy bodies?
- ✔✔REM sleep behavior disorder
✔✔80yo pt is unable to blow out match although motor and sensory function are
normal. What is this called? - ✔✔Apraxia
✔✔What are splice variants? - ✔✔different proteins encoded by the same gene
✔✔Which antidepressant is safest in seizure disorders and depression? - ✔✔Fluoxetine
✔✔According to Erikson, the predominant emotional issue in school-age children is? -
✔✔Personal worth and competence
✔✔Which is a boundary violation? Investing in a pt's business, treating the town
pharmacist in a small town, accepting pt's gift of hand-knit scarf, seeing a pt at a
, reduced fee compared to others, discussing pt's sexual feelings in session -
✔✔Investing in a patient's business
✔✔spasmodic torticollis treatment? - ✔✔botulinum toxin
✔✔child has mood swings and tantrums when parents tell him no most likely diagnosis?
- ✔✔ODD
✔✔College student doing well, therapist asks what happens if you fail the exam.
Student replies "I'll fail the whole course, I'll have to leave school, nobody in family will
want to do anything to do with me. Type of response? - ✔✔Catastrophic thinking
✔✔Neurotransmitter regulating sleep and wakefulness? - ✔✔Histamine
✔✔26yo obese female, severe headaches, bilateral papilledema on exam. Diagnosis? -
✔✔Idiopathic Intracranial Hypertension
✔✔Clouded sensorium, agitation, hyperactivity, paranoia, pressured speech, euphoric
mood, physical exam shows hypertension, tachycardia, nystagmus. Which drug? -
✔✔PCP
✔✔Elderly patient begins to ask about sex, becomes hesitant. Appropriate response? -
✔✔"You're doing fine, go on."
✔✔Residents working on QI project to improve missed handoffs. Aware that this is a
systemic problem. NExt step? - ✔✔design a protocol to determine the prevalence of
missed handoffs
✔✔Fine motor task mastered last? - ✔✔Tying shoelaces
✔✔Disorder carrying greatest global burden of disease? - ✔✔MDD
✔✔Target area in TMS for depression? - ✔✔Left prefrontal cortex
✔✔Psychotherapeutic intervention during refeeding phase of anorexia treatment? -
✔✔Coaching, supporting, providing behavioral reinforcement
✔✔Man sexually aroused by crosdressing. Diagnosis? - ✔✔Transvestic disorder
✔✔Explanation for child's anxiety from operant conditioning model? Child anxious about
getting on bus and irrationally fears it will crash. - ✔✔"How do you parents respond
when you are afraid of the bus?"
SET A+
✔✔Parents of a two year old girl are concerned because she's playing with trucks, likes
to wear boys clothes, and likes to play w/ boys. They've tried to change her but she has
been resistant. When asked by a physician, the child insists she's a girl. What is the
most likely diagnosis? - ✔✔Normal development
✔✔In a likely delirious patient, in addition to orientation questions, which part of the
MMSE is most helpful to confirm the diagnosis? - ✔✔Serial 7s
✔✔What neurotransmitter present in the periaqueductal gray matter is involved in the
mediation of pain? - ✔✔Endorphins
✔✔What is a pharmacological effect of lithium? - ✔✔Glycogen synthase kinase-3
inhibition
✔✔What stage of development occurs first in female physical development? -
✔✔Increase in adrenal androgen production
✔✔What type of genetic variation is most commonly investigated in genome wide
association studies? - ✔✔Single nucleotide polymorphisms
✔✔What Freudian stage of development is characterized by an intensification of
libidinal drive, separation from one's parents, and achievement of mature sense of self?
- ✔✔Genital
✔✔Deep brain stimulation targeting what area of the brain is most studied for treatment
of depression - ✔✔Subcallosal cingulate cortex
✔✔32 yo with episodes of severe sleepiness and falls asleep while driving, reporting
episodes of paralysis and hallucinations while awakening. Symptoms are best explained
by a deficiency of what? - ✔✔Orexin
,✔✔32 yo has a new onset headache with unilateral stabbing eye pain, also experiences
runny nose and conjunctival injection on same side as headache occurring every
evening after falling asleep and last 2 hours. Diagnosis? - ✔✔Cluster headache
✔✔Patient presents with complain "I think I'm going crazy." Reports that she has no self
and thoughts are not her own. Feels like a robot and is unable to control her body.
States she has feelings and is not able to feel them. Feels emotionally numb. Feels
head is "full of cotton." Recently started having "out of body experiences." Diagnosis? -
✔✔Depersonalization/derealization disorder
✔✔There are 3 primary components of "meaningful use" of electronic medical records
(EMR). These include certified EMR in a meaningful manner, use of certified EMR
technology to submit clinical quality measures, and which of the following? -
✔✔Electronic exchange of health information to improve quality of care
✔✔What neurotransmitter is thought to play a key role in fine-tuning working memory
function in the dorsolateral prefrontal cortex? - ✔✔Dopamine
✔✔What does current evidence show regarding psychiatrists using pharmacogenomics
testing in clinical practice? - ✔✔Research shows promise for clinical utility, but
replicated evidence about outcomes is lacking.
✔✔A psychiatrist working in a primary care clinic is contacted by the PCP for informal
"curbside" consultation and provides recs without evaluating the pt. What is
recommended to minimize liability? - ✔✔Care of the patient remains under the direction
of the PCP who also remains in charge of ordering medications or additional services
✔✔Which sleep disorder is associated w/ mild neurocognitive disorder w/ Lewy bodies?
- ✔✔REM sleep behavior disorder
✔✔80yo pt is unable to blow out match although motor and sensory function are
normal. What is this called? - ✔✔Apraxia
✔✔What are splice variants? - ✔✔different proteins encoded by the same gene
✔✔Which antidepressant is safest in seizure disorders and depression? - ✔✔Fluoxetine
✔✔According to Erikson, the predominant emotional issue in school-age children is? -
✔✔Personal worth and competence
✔✔Which is a boundary violation? Investing in a pt's business, treating the town
pharmacist in a small town, accepting pt's gift of hand-knit scarf, seeing a pt at a
, reduced fee compared to others, discussing pt's sexual feelings in session -
✔✔Investing in a patient's business
✔✔spasmodic torticollis treatment? - ✔✔botulinum toxin
✔✔child has mood swings and tantrums when parents tell him no most likely diagnosis?
- ✔✔ODD
✔✔College student doing well, therapist asks what happens if you fail the exam.
Student replies "I'll fail the whole course, I'll have to leave school, nobody in family will
want to do anything to do with me. Type of response? - ✔✔Catastrophic thinking
✔✔Neurotransmitter regulating sleep and wakefulness? - ✔✔Histamine
✔✔26yo obese female, severe headaches, bilateral papilledema on exam. Diagnosis? -
✔✔Idiopathic Intracranial Hypertension
✔✔Clouded sensorium, agitation, hyperactivity, paranoia, pressured speech, euphoric
mood, physical exam shows hypertension, tachycardia, nystagmus. Which drug? -
✔✔PCP
✔✔Elderly patient begins to ask about sex, becomes hesitant. Appropriate response? -
✔✔"You're doing fine, go on."
✔✔Residents working on QI project to improve missed handoffs. Aware that this is a
systemic problem. NExt step? - ✔✔design a protocol to determine the prevalence of
missed handoffs
✔✔Fine motor task mastered last? - ✔✔Tying shoelaces
✔✔Disorder carrying greatest global burden of disease? - ✔✔MDD
✔✔Target area in TMS for depression? - ✔✔Left prefrontal cortex
✔✔Psychotherapeutic intervention during refeeding phase of anorexia treatment? -
✔✔Coaching, supporting, providing behavioral reinforcement
✔✔Man sexually aroused by crosdressing. Diagnosis? - ✔✔Transvestic disorder
✔✔Explanation for child's anxiety from operant conditioning model? Child anxious about
getting on bus and irrationally fears it will crash. - ✔✔"How do you parents respond
when you are afraid of the bus?"
